Azman, Siti Fatimah Abd.
(2020)
Outcome of late term pregnancy in Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan.
Masters thesis, Universiti Sains Malaysia.
Abstract
Objective:
Late term pregnancy is associated with an increased risk of morbidity towards parturient
and fetus. This study aims to address the number of cases and outcome of maternal and
perinatal morbidity in late term pregnancy.
Methodology:
This was a retrospective study, a review of intended studied pregnancy at 41 weeks
involving 324 patients who delivered at late term in the past five years at HUSM. Data
involving socio-demographic of the patients, method of induction, mode of delivery, the
outcome of delivery as well as maternal and fetal complications were recorded and
analysed.
Results:
The number of cases of late term pregnancy was 8.73%. Out of 324 patients, 144 of them
(44.4%) were induced into labour. There were 269 patients (83%) delivered via
spontaneous vertex delivery, 12 patients (3.7%) via operative vaginal delivery and 43
patients (13.3%) via lower segment Caeserean section. The incidence of postpartum
hemorrhage and perineal trauma were 4.9% and 0.6% respectively. In terms of fetal
outcomes, 6.5% was admitted to neonatal intensive care unit following delivery, and
2.5% had their Apgar score of less than 7 at 5 minutes. There was a significant association
between mode of delivery and fetal outcome (neonatal intensive care unit admission and
poor Apgar score at 5 minutes) with higher incidences found in patients delivered via
operative vaginal delivery. Mothers who delivered via operative vaginal delivery were more likely to have baby admitted to NICU and Apgar score less than 7 with the odd ratio
9.11(95% Cl:2.44,33.93) and 17.6(95% CI:3.63,85.28) respectively.
Conclusion:
Our study found that the number of cases of maternal and perinatal morbidity in late term
pregnancy was lower compared to previously reported figures from other studies.
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